Provider Demographics
NPI:1801191226
Name:RIMON, SHARON (FNP-BC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:RIMON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:R
Other - Last Name:MAGALONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5555 E BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4709
Mailing Address - Country:US
Mailing Address - Phone:480-393-0575
Mailing Address - Fax:480-704-4019
Practice Address - Street 1:5555 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4709
Practice Address - Country:US
Practice Address - Phone:480-393-0575
Practice Address - Fax:480-704-4019
Is Sole Proprietor?:No
Enumeration Date:2011-01-15
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ597212Medicaid